Peter T Hetzler MD Facs LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA05342300 Issued in NJ

Legal business name

PETER T HETZLER MD FACS LLC

Practice address

200 White Rd
Suite 211
Little Silver, NJ 07739-1150

Phone

(732) 219-0447

NPI assigned

May 20, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter T Hetzler, MDNPI 1730143751

Title

Owner/Physician

Phone

(732) 219-0447

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Hetzler, MD

  • Plastic Surgery Physician
  • Little Silver, NJ
  • NPI 1730143751
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1053757914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WHITE RD",
            "address_2": "SUITE 211",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391150",
            "telephone_number": "732-219-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE RD",
            "address_2": "SUITE 211",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391150",
            "telephone_number": "732-219-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER T HETZLER MD FACS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "HETZLER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "732-219-0447",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05342300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Counseling and Therapy
• Justin N. Penn, DPT
• Marc Perdomo, DPT
• Zachary K Perlman, D.O.
• Nicholas Perosi, M.D.
• Anita Marie Pfisterer, L.C.S.W.
• Daniel Jude Diego Pinto, DO
• Faye Pirovolos
• Christos Plakas, M.D.
• Abigail Sarah Pleeter, LSW

• Specialist in Little Silver, NJ
• Providers in Little Silver, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.